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b / tau Workshop Registration Form

Last Name     First Name(s)  

Title     Affiliation  


Phone     Fax  

Full Address

  written invitation to be sent by normal mail.

Expected dates of arrival     and departure  

  like to give a talk.

The talk title is

and the abstract is  

I have       persons accompanying me, who will participate in the conference dinner on Friday night.

Please provide here any additional information (Such as a special diet.)

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